Skagit Whole Health Center

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    Form Downloads

    For your convenience you may download and complete the forms below to bring in, email or fax to my office.

    PHONE:  (360) 336-6809
    FAX: (360) 633-3201

    Phone & On-line Consultation
    The information in the above forms is very important in helping me identify the root causes of your imbalances. I will then form a *TCM diagnosis and create a specialized diet and lifestyle program for you. This may entail phone consultations or office visits.

    Fee Scale for Phone and On-line Consultations:

    Phone consultation (per 15 minutes)$25.00
    In-depth 1 hour phone consultation$75.00
    Health Questionnaire Form evaluation$25.00
    Symptom Survey Form evaluation$25.00

    Payments Accepted through PayPal